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anyone had a hemorrhoidectomy?

6,932 Views | 111 Replies | Last: 6 days ago by tandy miller
AgsMyDude
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tandy miller said:

AgsMyDude said:

How are we doing today?


Still rough. Today may be theorist's day now that I've started having BM's. Hoping to start getting better in the next day or 2.

Planned on working tomorrow but don't see that happening


Hopefully you can get some stronger stuff tomorrow

suburban cowboy
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how does one prevent this from ever happening
joerobert_pete06
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I've been dealing with an hemorrhoid for the past decade..... reading this makes me want to never have it fixed.
YouBet
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suburban cowboy said:

how does one prevent this from ever happening


Don't linger on the toilet. Don't strain. Other than that, I think it's bad luck.

Get yourself one of those foot platforms for the toilet. Looks like something a child would use but it helps you strain less.
YouBet
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joerobert_pete06 said:

I've been dealing with an hemorrhoid for the past decade..... reading this makes me want to never have it fixed.


If it gets bad enough, you will have to do surgery. However, the following won't help you want to do it...

When I woke up from surgery (in pain), one of the nurses told me she had the surgery and that the pain of her first BM post this surgery was worse than her first child birth.

Me:


tandy miller
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suburban cowboy said:

how does one prevent this from ever happening


If you get hemorrhoids, get them fixed. I first noticed mine after trying to load a big pig about 3 yrs ago. I did not want to go to the doctor so I just dealt with it… if I had taken care of it then I could have done rubber band ligation which would have been much less painful. Other than that I think sitting on the toilet too long can make you get them.
tandy miller
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Is there some kind of law that dictates when opioids can be prescribed?

Doc gave me 21 tramadol. 1 every 8 hrs for 7 days. I called office and told med assistant the pain made me want to put a bullet in my head. She said go up to 1 every 6 hours.

I called doc sat and she said she couldn't give me anymore till the amt of time on the bottle passed by law. I told her that I was taking more at the advice of her medical assistant. She said basically too bad, figure it out.

Day 4 and no relief in sight
YouBet
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tandy miller said:

Is there some kind of law that dictates when opioids can be prescribed?

Doc gave me 21 tramadol. 1 every 8 hrs for 7 days. I called office and told med assistant the pain made me want to put a bullet in my head. She said go up to 1 every 6 hours.

I called doc sat and she said she couldn't give me anymore till the amt of time on the bottle passed by law. I told her that I was taking more at the advice of her medical assistant. She said basically too bad, figure it out.

Day 4 and no relief in sight


My doctor prescribed Norcos (opioid + Tylenol) and then had me ignore what the bottle said. You then have your refill done at a different pharmacy than your usual to get around that barrier....which is what he told me to do. He was very opinionated about the opioid issue being a hinderance for pain management, so he works the loopholes in favor of his patients.

And he did that because he flat out told me this was going to be horrific and that it would be worse pain I ever experienced. He did not sugarcoat it at all.
tandy miller
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This lady didn't sugar coat it and told me the same but her attitude is basically deal with it. I dont know why her med assistant told me that. I'm going to run out 1.75 days too soon now
lazuras_dc
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There's no specific law that Im aware of. DEA investigations/audits can be triggered by suspicious prescribing habits.
All providers are required to check patients on a database for risks of over prescription of opiods. Providers used to give them out like candy so this is the pendulum swinging the other way. There's so much opioid addiction and mis-use propaganda hammering providers now in regards to required CE on the topic, media, etc.
tandy miller
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How much more constipation inducing is hydrocodone/acetaminophen 5-325 than tramadol?
lazuras_dc
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Significantly more
tandy miller
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Thanks
tandy miller
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Ripped the stitches today. ****ing kill me
tandy miller
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Holy **** I just thought I was in pain before. They said they will heal without going back in but it's basically back to square 1 with healing
Absolute
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I find the utter lack of care toward pain management insane. So sorry to hear that. To be that callous and uncaring about your patient's pain level for a surgery like this seem almost criminally negligent!

To other experts here, is there any recourse to that for a patient? Guess I have been lucky on my painful surgeries to have doctors that were good about it.

Sully
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Really sorry to hear this, Tandy. I was hoping and praying you were turning the corner. I'll keep sending prayers up for you to feel better!
Na Zdraví 87
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Na Zdrav 87 said:

Worst pain ever! I sat in a hot bath for a week. Then my stitches burst and had to go back and do it again!


Welcome to my experience. 2+ weeks of hell and misery. I feel your pain.
tandy miller
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Sully said:

Really sorry to hear this, Tandy. I was hoping and praying you were turning the corner. I'll keep sending prayers up for you to feel better!


Thank you. It has to get better eventually.
tandy miller
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Na Zdrav 87 said:

Na Zdrav 87 said:

Worst pain ever! I sat in a hot bath for a week. Then my stitches burst and had to go back and do it again!


Welcome to my experience. 2+ weeks of hell and misery. I feel your pain.


They're not going back in and fixing, they said it will heal
Na Zdraví 87
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Well I was gushing blood so they had to.
tandy miller
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Mine just bled in the toilet like I did every day before surgery. It stopped when I got in the tub. I drove myself to the dr. Pain got so bad tonight if I had better ins I'd go to the hospital just for pain management. Have worn my dental night guard all day bc I'm clenching my teeth so much I'm afraid I'm gonna break one.
AgsMyDude
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You went in person and they still didn't up your pain meds?

Sorry Tandy, that's cold blooded

Does your insurance have a telehealth service? Mine does and those docs are really liberal with prescriptions. But maybe not so with pain meds
tandy miller
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Yeah she keeps telling me her hands are tied…that she can't prescribe more but if I understand correctly that's not true… from what I understand she can write them still, may get scrutinized if there is a pattern of that, and ins won't cover.

All of this could have been avoided if she would have just given me something stronger initially or prescribed more initially.

When she wrote the initial prescription i wasnt dealing with ripped stitches… i feel like the status quo has changed and we are still operating pharmaceutically as though the wound is still healing fine
YouBet
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Man, that is b.s. I'm wondering if she's gotten hit before and opioids so now you are getting screwed because of it? My doctor was gung ho about it (thankfully).

On tearing them, my doc told me same thing that if that were to happen you just ride it out because that area is so vascular it will heal itself anyway.
Claude!
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Is your doctor's last name Lecter?
tandy miller
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No Dr Lisa Haubert
AggieOO
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Nm. Had my wires crossed.
tandy miller
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Went to get my tramadol refilled today and found out it's not covered by insurance.

Call insurance to get a list of substitutes that are covered. Two of the options were 50 mg tramadol and 100 mg extended release tramadol. I called the provider and basically told them this and they said that they would write the prescription for the 50 mg, but it wouldn't be any more pills so it would only be half of the total milligrams that was all that the doctor was willing to do, and if that wouldn't work, I'd needed to just go to the emergency room.

How is this not in conflict to the do no harm principle that this provider is ethically bound by? I'm really close to filing a complaint with the Texas state Board of medical examiners. This feels ridiculous.
tandy miller
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Difference in Price of 445% btw
AgsMyDude
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goodrx brother

www.goodrx.com/tramadol
tandy miller
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They wouldn't let me use it at wal mart. Was in so much pain I just paid it.

I just can't for the life of me figure out why the doc would so vehemently refuse to prescribe a covered alternative
Absolute
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The whole situation is insane. Generic Viadin is like 5 bucks and as long as they took steps to control constipation seems a better option. So they gave you the weakest painkiller in insufficient strength and quantity for a procedure obviously known to be extremely painful and are unwilling to help you with pain it doesn't control. Unreal!


Going to the er might not be a bad idea. A different doc may be more professional and caring.


I'm not litigious, but damn, once you are up to it, I would be filing complaints everywhere and would consider taking any reasonable actions I could against the quack. I would also leave reviews anywhere you can to help protect others.


Praying for you
tandy miller
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Thanks, I really appreciate it. Insane to me as well
rjhtamu
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As an ER doc, I would second going to the ER. They can probably help you get a little better relief.

As for why a doctor wouldn't prescribe? Sometimes its as simple as they can't.

When I renew my DEA license every so often, I have to click the levels of controlled substances that I am allowed to prescribe. II for example allows you to write hydrocodone, oxycodone. III for Tylenol 3 and tramadol.

There are many doctors out there they simply never click a II level prescribing authority. They choose to not prescribe "the stronger stuff". What you prescribe is still very much up to the prerogative and the decision of the prescriber. If you don't click to prescribe II, you can't legally.

Now, personally, if I were a surgeon and doing very painful things to people, I would "choose" to write for the stronger stuff myself, and I do, as an ER doctor, but it's still prescriber choice and preference.
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